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CERTIFICATE NO.003120155 002 0
PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT 58974
35-60000972
ONE CIVIC SQUARE
CARME L,INDIANA 460-32-2E84 THIS NUMBER MUST APPEAR ON INVOICES,A/P
VOUCHER,DELIVERY MEMO,PACKING SLIPS,
SHIPPING LABELS AND ANY CORRESPONDENCE.
FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL-1997
PURCHASE ORDER DATE DATE REQUIRED REQUISITION NO VENDOR NO. DESCRIPTION
12/14/2023 12/18/23 33371 215000 Maintenance and Repair Parts for Fleet Vehicles
NAPA(Genuine Parts co.) Parks Maintenance
5959 Collections Center Drive 1427 E. 116th Street
VENDOR Chicago, IL 60693 SHIPCarmel, IN 46032
TO
CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
1.000 each NAPA The Legend Professional Battery 24 Months Free $ 165.900 $ 165.90
Replacement BCI No.51R 500 CCA
2.000 each NAPA PROFORMER Beam Wiper Blade 22 in $8.990 $ 17.98
4.000 each NAPA Gold Fuel Filter Part#: FIL 3830 $ 10.680 $42.72
1.000 each NAPA Gold Air Filter Part#: FIL 500428 $ 14.590 $ 14.59
GLAccount#1125401-4232100
Send Invoice To:
$241.19
PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT
PAYMENT
• AJP VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O.NUMBER IS MADE A
PART OF THE VOUCHER AND EVERY INVOICE AND VOUCHER HAS THE PROPER SWORN
SHIPPING INSTRUCTIONS AFFIDAVIT ATTACHED.
. I HEREBY CERTIFY THAT THERE IS AN UNOBLIGATED BALANCE IN THIS APPROPRIATION
SRO I'R9 PA D SUFFICIENT TO PAY FOR THE ABOVE ORDER.
coo SHVISIMFIS TS CANNOT IFN ACCFP D
v PORDI ORE NIUMBIRR MUEvivAPPV AR OM ALLSHOPPVNG LASS/A ORDERED BY Danny Griffin
TI ORE) R 199 ur D IN SOMPLOANCE WIT CVIAPTFR 99 ACTS 1945
AND ACTS AMENDATORY THERE OF AND SURVILIE r uu tr RF"V 0 Parks Operations Manager-Maintenance
CONTROLLER
DOCUMENT CONTROL NO. 58974 VENDOR COPY